Added
8 days ago
Type
Full time
Salary
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Related skills

compliance risk audit ms excel health insurance

πŸ“‹ Description

  • Audit underwriting cases to evaluate risk decisions, evidence utilization, and documentation
  • Track and report quality metrics β€” error rates, decision accuracy, and SLA compliance
  • Provide structured feedback and support coaching interventions for underwriters
  • Identify trends in errors and evidence quality; escalate systemic issues to leadership
  • Collaborate with training team on identifying training needs
  • Contribute to process improvement, SOP enhancement, and automation initiatives

🎯 Requirements

  • Graduate/Postgraduate in Medicine, or related field (M Pharma / Nursing/MBBS preferred)
  • 5 or more years in Life/Health Insurance Underwriting with exposure to managing underwriting
  • Strong knowledge of APS/EHR/Lab Piq interpretation and US based underwriting guidelines
  • High attention to detail and analytical thinking
  • Strong communication for feedback and reporting
  • Proficiency in MS Excel for trend analysis and scorecards

🎁 Benefits

  • Pursuant to the SF Fair Chance Ordinance, we will consider employment for qualified applicants with
  • Dedicated to building a diverse, inclusive and authentic workplace
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